Document Type : Original Article


1 Pregnancy Health Research Center, Zahedan University of Medical Sciences, Zahedan, Iran

2 Pregnancy Health Research Center, Zahedan Uiversity of Medical Sciences


BACKGROUND: Improving self‑care in adolescent pregnancy leads to improved maternal and
neonatal outcomes of pregnancy. However, self‑care in adolescent pregnancy is less than other
women. The aim of this study was to compare the effect of face‑to‑face training and telemedicine
on self‑care in adolescent pregnant women.
MATERIALS AND METHODS: The present study is a quasi‑experimental study that was conducted
in Zahedan in 2021 and 120 adolescent pregnant women with a gestational age of 15–20 weeks
participated in it. The sampling was done in multistage, and the samples were divided into three groups:
Face‑to‑face training, telemedicine, and control. Face‑to‑face training was presented in five sessions
and the telemedicine group received the similar educational content through the mobile applications.
The samples completed a researcher‑made self‑care questionnaire before the intervention and at
28 weeks of gestation. SPSS software version 21 was used for the analysis, and data were analyzed
by ANOVA, Tukey post hoc, Kruskal–Wallis, and Mann–Whitney tests.
RESULTS: There was no significant difference in face‑to‑face and telemedicine training in improving
the scores of nutritional performance, smoking and narcotics use, personal hygiene, and routine
pregnancy care (P > 0.05), but face‑to‑face training caused more improvement in the scores of
sports and physical activity as compared to telemedicine group (P = 0.04). Face‑to‑face training
and telemedicine training in all domains led to a significant improvement in scores as compared to
the control group (P < 0.05).
CONCLUSION: The results of this study showed that the face‑to‑face training and telemedicine
methods were proper methods for self‑care education in pregnant adolescent women. It is
recommended to use these methods in promoting self‑care in pregnant adolescent women.


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